Ketamine use: A review

Journal article


Morgan, Celia J. A. and Curran, H. Valerie. (2012). Ketamine use: A review. Addiction. 107(1), pp. 27 - 38. https://doi.org/10.1111/j.1360-0443.2011.03576.x
AuthorsMorgan, Celia J. A. and Curran, H. Valerie
Abstract

Aims: Ketamine remains an important medicine in both specialist anaesthesia and aspects of pain management. At the same time, its use as a recreational drug has spread in many parts of the world during the past few years. There are now increasing concerns about the harmful physical and psychological consequences of repeated misuse of this drug. The aim of this review was to survey and integrate the research literature on physical, psychological and social harms of both acute and chronic ketamine use. Method: The literature on ketamine was systematically searched and findings were classified into the matrix of Nutt et al.'s (2007) rational scale for assessing the harms of psychoactive substances. Results: A major physical harm is ketamine induced ulcerative cystitis which, although its aetiology is unclear, seems particularly associated with chronic, frequent use of the drug. Frequent, daily use is also associated with neurocognitive impairment and, most robustly, deficits in working and episodic memory. Recent studies suggest certain neurological abnormalities which may underpin these cognitive effects. Many frequent users are concerned about addiction and report trying but failing to stop using ketamine. Conclusions: The implications of these findings are drawn out for treatment of ketamine-induced ulcerative cystitis in which interventions from urologists and from addiction specialists should be coordinated. Neurocognitive impairment in frequent users can impact negatively upon achievement in education and at work, and also compound addiction problems. Prevention and harm minimization campaigns are needed to alert young people to these harmful and potentially chronic effects of ketamine.

Keywordsaddiction; chronic; cognitive; dependence; harms; ketamine; neurological; physical harms; social harms; ulcerative cystitis
Year2012
JournalAddiction
Journal citation107 (1), pp. 27 - 38
PublisherBlackwell Publishing Inc.
ISSN0965-2140
Digital Object Identifier (DOI)https://doi.org/10.1111/j.1360-0443.2011.03576.x
Scopus EID2-s2.0-83355169638
Page range27 - 38
Publisher's version
File Access Level
Controlled
Place of publicationUnited Kingdom
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